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Individual
DR. BRETT JONATHAN MALO
Active
Individual
DR. BRETT JONATHAN MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
60831-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2009
Last updated
07/08/2013
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